nursing home in Clayton, NC
Clayton Rehabilitation and Healthcare Center
204 Dairy Road, Clayton, NC 27520 · (919) 553-8232
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Clayton Rehabilitation and Healthcare Center at a glance
Clayton Rehabilitation and Healthcare Center is a 90-bed for-profit nursing home in Clayton, North Carolina (Johnston County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the North Carolina average of 2.9.
Residents receive about 3.1 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (February 13, 2026) found 19 health citations. The North Carolina average is 4.7.
Federal regulators fined it 1 time in the past three years, totaling $166,075.
Nursing staff turnover is 77.8% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 90
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Simcha Hyman & Naftali Zanziper
- Medicare-certified since
- April 16, 1990
- Resident/family council
- Resident
- County
- Johnston County
- CMS Certification Number
- 345317
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.11 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.45 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.69 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.66 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 77.8% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 75% | 45.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 19 | 5 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 15 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 169.3 | 49.2 | 80.6 | Worse |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $166,075 | $36,617 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 90 | 105 | 107 | |
| Average residents per day | 86 | 87 | 86 | |
| Occupancy | 95.3% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.2% | 3.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 8.8% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 12.3% | 14% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.9% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.7% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 15.4% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 15.8% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 12.3% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 6.7% | 5.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 10.2% | 21.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 29.7% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 94.4% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.8% | 92% | 93.6% | Average |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.9% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 89.9% | 78.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 90.8% | 80.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 38 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 13, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected June 5, 2026 |
| February 13, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected June 5, 2026 |
| February 13, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected June 5, 2026 |
| February 13, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected June 5, 2026 |
| February 13, 2026 Fire safety | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Tag K0352 | D Potential harm, isolated | Corrected June 19, 2026 |
| February 13, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 19, 2026 |
| February 13, 2026 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected June 5, 2026 |
| February 13, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected July 3, 2026 |
| February 13, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected June 5, 2026 |
| February 13, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 6, 2026 |
| February 13, 2026 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected March 6, 2026 |
| February 13, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 6, 2026 |
| February 13, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected March 6, 2026 |
| October 30, 2025 Complaint | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | J Immediate jeopardy, isolated | Corrected November 17, 2025 |
| October 30, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected November 21, 2025 |
| October 30, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | F Potential harm, widespread | Corrected November 25, 2025 |
| October 30, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected November 25, 2025 |
| October 30, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected November 25, 2025 |
| October 30, 2025 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected November 25, 2025 |
| October 30, 2025 Complaint | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected November 25, 2025 |
| October 30, 2025 Complaint | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected November 25, 2025 |
| October 30, 2025 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected November 25, 2025 |
| October 30, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected November 25, 2025 |
| October 30, 2025 Complaint | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected November 25, 2025 |
| October 30, 2025 Complaint | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected November 25, 2025 |
| October 30, 2025 Complaint | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected November 25, 2025 |
| October 30, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected November 25, 2025 |
| October 30, 2025 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected November 25, 2025 |
| August 25, 2025 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected September 8, 2025 |
| July 3, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected July 21, 2025 |
| July 3, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected July 21, 2025 |
| July 3, 2025 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected July 21, 2025 |
| July 3, 2025 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | D Potential harm, isolated | Corrected July 21, 2025 |
| November 27, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected February 28, 2025 |
| November 27, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected February 28, 2025 |
| November 27, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected February 28, 2025 |
| November 27, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected February 28, 2025 |
| November 27, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 20, 2024 |
| November 27, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected December 20, 2024 |
| November 27, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected December 20, 2024 |
| November 27, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected December 20, 2024 |
| November 27, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 20, 2024 |
| October 23, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 8, 2024 |
| October 23, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected November 8, 2024 |
| October 23, 2024 Complaint | Plan the resident's discharge to meet the resident's goals and needs. Resident Assessment and Care Planning Deficiencies · Tag F0660 | D Potential harm, isolated | Corrected November 8, 2024 |
| October 23, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected November 8, 2024 |
| October 23, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 8, 2024 |
| October 23, 2024 Complaint | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | D Potential harm, isolated | Corrected November 8, 2024 |
| July 30, 2024 Complaint | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Tag F0925 | E Potential harm, pattern | Corrected August 14, 2024 |
| July 30, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected February 17, 2024 |
| July 30, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 14, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $166,075 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 30, 2025 | Fine | $166,075 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| NC EAST HOLDING LLC Organization | 5% or greater direct ownership interest | 100% | 07/01/2022 |
| ALTER, TZVI Individual | 5% or greater indirect ownership interest | 80% | 07/01/2022 |
| ALTER, TZVI Individual | corporate director | NOT APPLICABLE | 07/01/2022 |
| DAVIS, JENNIFER Individual | w-2 managing employee | NOT APPLICABLE | 07/01/2022 |
Other nursing homes near Clayton Rehabilitation and Healthcare Center
Springbrook Nursing and Rehabilitation Center
195 Springbrook Avenue, Clayton, NC 27520 · 1.5 mi
For-profit · 100 beds · Part of Principle Long Term Care
★★★★★3AverageBellarose Nursing and Rehab
200 Bellarose Lake Way, Garner, NC 27529 · 7.7 mi
For-profit · 100 beds
- CMS high performer
★★★★★5Much above averageBarbour Court Nursing and Rehabilitation Center
515 Barbour Road, Smithfield, NC 27577 · 9.2 mi
For-profit · 165 beds · Part of Principle Long Term Care
★★★★★4Above averageThe Laurels of Forest Glenn
1101 Hartwell Street, Garner, NC 27529 · 9.9 mi
For-profit · 120 beds · Part of Ciena Healthcare/Laurel Health Care
★★★★★2Below averageWellington Rehabilitation and Healthcare
1000 Tandal Place, Knightdale, NC 27545 · 10.4 mi
For-profit · 80 beds · Part of Avardis Health
★★★★★1Much below averageSmithfield Manor Rehabilitation and Healthcare Cen
902 Berkshire Road, Smithfield, NC 27577 · 11.5 mi
For-profit · 160 beds · Part of Venza Care Management
★★★★★1Much below average
Frequently asked questions
What is Clayton Rehabilitation and Healthcare Center's rating?
Clayton Rehabilitation and Healthcare Center has 1 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Clayton Rehabilitation and Healthcare Center receive?
Its most recent standard health inspection found 19 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Clayton Rehabilitation and Healthcare Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Clayton Rehabilitation and Healthcare Center?
It is for profit - individual and part of Simcha Hyman & Naftali Zanziper. The ownership section on this page lists the owners and managers reported to CMS.
Where is Clayton Rehabilitation and Healthcare Center and how do I contact it?
Clayton Rehabilitation and Healthcare Center is at 204 Dairy Road, Clayton, NC 27520. Phone: (919) 553-8232.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.